Training program addressing the multilevel factors that affect pregnancy-related and pregnancy-associated morbidity and mortality disparities

针对影响妊娠相关发病率和死亡率差异的多层次因素的培训计划

• 批准号: 10755553
• 负责人: Claire E Margerison
• 金额: $ 22.03万
• 依托单位: HENRY FORD HEALTH + MICHIGAN STATE UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-17 至 2030-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10755553
• 关键词: Active Learning; Address; Affect; Behavioral; Biological; Black race; Collaborations; Communities; Data; Development; Disparity; Environment; Environmental Risk Factor; Faculty; Family; Funding; Goals; Health; Health Sciences; Health system; Hispanic; Human; Inequity; Insurance Claim Review; Interdisciplinary Study; Intervention; Knowledge; Learning; Location; Maternal Health; Maternal health equity; Medicaid eligibility; Medicine; Mentors; Michigan; Morbidity - disease rate; Mothers; Patients; Phase; Policies; Population Analysis; Postdoctoral Fellow; Pregnancy; Provider; Quasi-experiment; Racial Equity; Research; Research Methodology; Research Personnel; Research Project Grants; Research Training; Role; Rural Community; Scientist; Source; Structure; Students; Suicide; System; Testing; Training; Training Programs; Training Support; Translating; United States National Institutes of Health; Universities; Work; cohort; college; community engaged research; community partnership; design; disparities in morbidity; disparity reduction; dissemination science; experience; health disparity; implementation science; indigenous community; interest; mHealth; mentoring community; mortality; mortality disparity; partner violence; randomized trial; recruit; rural setting; severe maternal morbidity; sociocultural determinant; structural determinants; substance use; synergism; training opportunity; trial design; urban setting

The Training Component will prepare scientists, including early-stage investigators and other junior scien- tists, students, and postdocs from under-represented backgrounds, to conduct research to that will help us un- derstand and address multilevel factors causing PRAMM disparities. As our projects address PRAMM disparities at the patient, community, provider, and systems levels, so too will our training program. The overall goal of the Center’s Training Component is to engage and prepare junior investigators, with a focus on early-stage investi- gators from backgrounds or identities currently underrepresented in the health sciences, to conduct research that addresses the biological, behavioral, environmental, and structural determinants of PRAMM and disparities. The Training Component will leverage the expertise and networks of Center investigators and community partners, who bring a broad range of expertise in community-engaged research methods, developing and testing multilevel interventions, dissemination and implementation science, analysis of population-level data, random- ized trial designs, factorial designs, quasi-experimental studies, and analysis of claims data. Center investigators also bring expertise on using mobile health to reduce disparities and substantive knowledge and experience testing interventions for understudied causes of PRAMM disparities, including partner violence, suicide, sub- stance use, and other co-occurring conditions. The College of Human Medicine at Michigan State University offers an ideal environment for this training program because of its emphasis on community-engagement and health disparities, its reach across multiple locations in Michigan (Flint, Grand Rapids, Lansing/East Lansing, and Northern Michigan) and its partnership with Henry Ford Health System in Southeast Michigan. We will pur- sue the following Specific Aims. 1. Engage and train Collaborating Scholars through one-on-one mentoring, hands-on experiential learning, and structured training, with a focus on early-stage and underrepresented investigators. 2. Provide opportunities for other early-stage and junior investigators, students, and postdocs to learn from participating in PRAMM disparities research by including them in Center projects. 3. Provide a set of didactic opportunities focused on understanding and addressing the multi-level de- terminants of PRAMM to the entire Research Community, i.e., Investigators, staff, Community Partners, Collaborating Scholars and other students, postdocs, new investigators, and interested stakeholders 4. Leverage an extensive network of existing training opportunities that include courses, seminars, and trainings from across the Michigan State University colleges in East Lansing and Flint, Michigan, other Com- munity Partner organizations, and other sources as appropriate

培训组成部分将为科学家做好准备，包括早期研究人员和其他初级科学 - 来自代表性不足的背景的Tist，学生和博士后，进行研究将有助于我们不利 并解决导致PRAMM差异的多层次因素。当我们的项目解决PRAMM差异时 在患者，社区，提供商和系统级别上，我们的培训计划也将如此。总体目标 中心的培训部分是参与和准备初级调查人员，重点是早期投资 目前在健康科学中人数不足的背景或身份的鳄鱼进行研究 这涉及PRAMM和分布的生物学，行为，环境和结构决定者。 培训部分将利用中心研究人员和社区的专业知识和网络 合作伙伴，他们在社区参与研究方法方面具有广泛的专业知识，开发和测试 多层次干预措施，传播和实施科学，人口级数据的分析，随机 - ized试验设计，阶乘设计，准实验研究和索赔数据的分析。中心调查人员 还带来有关使用移动健康来减少分布和实质知识和经验的专业知识 测试干预措施，以了解PRAMM分布的原因，包括伴侣暴力，自杀，子 - 立场使用和其他同时发生条件。密歇根州立大学人类医学院 为该培训计划提供了理想的环境，因为它强调社区参与和 健康差异，在密歇根州的多个地点的范围（弗林特，大急流城，兰辛/东兰辛， 和密歇根州北部）及其与密歇根州东南部的亨利·福特卫生系统的合作。我们会 起诉以下特定目标。 1。通过一对一的心理，动手专家学习，参与和培训协作学者 和结构化培训，重点是早期和代表性不足的研究人员。 2。为其他早期和初级调查人员，学生和博士学位提供学习机会 通过将PRAMM差异研究包括在中心项目中。 3。提供一组教学机会，专注于理解和解决多层次 PRAMM的终端是整个研究社区，即研究人员，员工，社区合作伙伴， 协作学者和其他学生，博士后，新调查人员和有趣的利益相关者 4。利用广泛的现有培训机会网络，其中包括课程，半手和 来自东兰辛和密歇根州弗林特的密歇根州立大学学院的培训 城市合作伙伴组织和其他资源适当